Early Access Program for Zolbetuximab
Launched by ASTELLAS PHARMA GLOBAL DEVELOPMENT, INC. · Sep 15, 2023
Trial Information
Current as of June 29, 2025
Available
Keywords
ClinConnect Summary
The European Union European Medicines Agency, the United States Food and Drug Administration, and South Korea Pharmaceuticals and Medical Devices Agency have approved zolbetuximab for the treatment of advanced stomach/GEJ cancer in adults. Enrollment is closed in United States, and Germany.
Gender
ALL
Eligibility criteria
- Inclusion Criteria:
- • Patient has histologically confirmed diagnosis of gastric or gastroesophageal junction adenocarcinoma.
- • Patient has confirmed locally advanced, unresectable or metastatic gastric or GEJ adenocarcinoma.
- • Patient whose tumor expresses claudin18.2 (CLDN18.2) in ≥ 75% of tumor cells demonstrating moderate to strong membranous CLDN18 staining as determined by local or central immunohistochemistry (IHC) testing.
- • Patient has a Human epidermal growth factor receptor 2 (HER2-negative) tumor by local testing on a gastric or GEJ tumor specimen.
- • Patient has Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
- • Patient must meet all of the following criteria based on the locally analyzed laboratory tests collected.
- • Hemoglobin (Hgb) ≥ 9 g/dL. Patients requiring transfusions are eligible if they have post-transfusion Hgb ≥ 9 g/dL.
- • Absolute neutrophil count (ANC) ≥ 1.5 × 109/L
- • Platelets ≥ 100 × 109/L
- • Albumin ≥ 2.5 g/dL
- • Total bilirubin (TBL) ≤ 1.5 × ULN without liver metastases (or \< 3.0 × ULN if liver metastases are present)
- • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN) without liver metastases (or ≤ 5 × ULN if liver metastases are present)
- • Estimated creatinine clearance ≥ 30 mL/min
- • Prothrombin time/international normalized ratio (PT/INR) and partial thromboplastin time ≤ 1.5 × ULN (except for patients receiving anticoagulation therapy)
- * Female patient is not pregnant and at least 1 of the following conditions apply:
- • Not a woman of child bearing potential (WOCBP)
- • WOCBP who agrees to follow the contraceptive guidance from the time of informed consent through at least 9 months after the final administration of oxaliplatin and 6 months after final administration of other interventions.
- • Female patient must agree not to breastfeed starting at screening and throughout the EAP period and for 6 months after final intervention administration.
- • Female patient must not donate ova starting at first administration of treatment and throughout the EAP period and for 9 months after the final administration of oxaliplatin and 6 months after final administration of other interventions.
- • Male patient with female partner(s) of childbearing potential (including breastfeeding partner) must agree to use contraception throughout the treatment period and for 6 months after final treatment administration.
- • Male patient must not donate sperm during the treatment period and for 6 months after final treatment administration.
- • Male patient with pregnant partner(s) must agree to remain abstinent or use a condom for the duration of the pregnancy throughout the EAP period and for 6 months after final treatment administration.
- Exclusion Criteria:
- • Patient has previously received treatment in a clinical trial of zolbetuximab, or a clinical trial that included zolbetuximab as 1 of the treatment options, even if the patient was not given zolbetuximab.
- • Patient is a candidate for an ongoing clinical trial of zolbetuximab.
- • Patient has received any investigational therapy within 28 days or 5 half-lives prior to screening.
- • Patient has a known or suspected hypersensitivity to zolbetuximab, other monoclonal antibodies or any components of the formulation used.
- • Patient has received prior systemic chemotherapy for locally advanced unresectable or metastatic gastric or GEJ adenocarcinoma. However, patient may have received either neo-adjuvant or adjuvant chemotherapy, immunotherapy or other systemic anticancer therapies as long as it was completed at least 6 months prior to participation.
- • Patient has received radiotherapy for locally advanced unresectable or metastatic gastric or GEJ adenocarcinoma ≤ 14 days prior to program registration and has not recovered from any related toxicity.
- • Patient receiving treatment with herbal medications that have known antitumor activity.
- • Patient has received systemic immunosuppressive therapy, including systemic corticosteroids within 14 days prior to registration. Patients using a physiologic replacement dose of hydrocortisone or its equivalent (defined as up to 30 mg/day of hydrocortisone or up to 10 mg/day of prednisone), receiving a single dose of systemic corticosteroids or receiving systemic corticosteroids as premedication for radiologic imaging contrast use are allowed.
- • Patient has a prior severe allergic reaction, known (immediate or delayed) or suspected hypersensitivity, intolerance or contraindication to zolbetuximab, mFOLFOX6, CAPOX, other monoclonal antibodies or any components of the formulations used.
- • Patient has known dihydropyrimidine dehydrogenase (DPD) deficiency. (NOTE: Screening for DPD deficiency should be conducted per local requirements.)
- • Patient has a complete gastric outlet syndrome or a partial gastric outlet syndrome with persistent/recurrent vomiting.
- • Patient has significant gastric bleeding and/or untreated gastric ulcers that would exclude the patient from participation.
- • Patient has any other condition, which makes the patient unsuitable to receive or tolerate zolbetuximab.
About Astellas Pharma Global Development, Inc.
Astellas Pharma Global Development, Inc. is a leading biopharmaceutical company dedicated to advancing innovative therapies that address unmet medical needs across various therapeutic areas, including oncology, urology, and immunology. With a strong commitment to research and development, Astellas leverages cutting-edge science and technology to drive clinical trials that evaluate the safety and efficacy of novel treatments. Guided by its core values of integrity, teamwork, and excellence, Astellas strives to improve patient outcomes through collaboration with healthcare professionals and regulatory authorities, ultimately enhancing the quality of life for patients worldwide.
Contacts
Jennifer Cobb
Immunology at National Institute of Allergy and Infectious Diseases (NIAID)
Locations
Morristown, New Jersey, United States
München, , Germany
Seoul, , Korea, Republic Of
San Cristobal De La Laguna, Santa Cruz De Tenerife, Spain
Zurich, , Switzerland
Morristown, New Jersey, United States
Berlin, , Germany
Chemnitz, , Germany
Damme, , Germany
Erkelenz, , Germany
Frankfurt Am Main, , Germany
Goettingen, , Germany
Hamburg, , Germany
Kempten, , Germany
Kiel, , Germany
Kiel, , Germany
Koblenz, , Germany
Magdeburg, , Germany
Munich, , Germany
Nuernberg, , Germany
Ravensburg, , Germany
Thuine, , Germany
Tübingen, , Germany
Ulm, , Germany
Viersen, , Germany
Wiesbaden, , Germany
Belem, , Brazil
Belo Horizonte, , Brazil
Brasília, , Brazil
Florianópolis, , Brazil
Londrina, , Brazil
Manaus, , Brazil
Natal, , Brazil
Porto Alegre, , Brazil
Rio De Janeiro, , Brazil
Sao Paulo, , Brazil
Angers, , France
Angers, , France
Avignon, , France
Bordeaux, , France
Bordeaux, , France
Brest, , France
Cagnes Sur Mer, , France
Clermont Ferrand, , France
Clermont Ferrand, , France
Colmar, , France
Corbeil Essonnes, , France
Le Blanc Mesnil, , France
Lormont, , France
Lyon, , France
Lyon, , France
Marseille, , France
Montpellier, , France
Nantes, , France
Niort, , France
Paris, , France
Paris, , France
Paris, , France
Paris, , France
Paris, , France
Perigueux, , France
Perpignan, , France
Rodez, , France
Rouen, , France
St Gregoire, , France
St. Malo, , France
Suresnes, , France
Suresnes, , France
Trevenans, , France
Vannes, , France
Vantoux, , France
Villejuif, , France
Villejuif, , France
Damme, , Germany
Erkelenz, , Germany
Essen, , Germany
Frankfurt, , Germany
Hamburg, , Germany
Incheon, , Korea, Republic Of
Seongnam Si, , Korea, Republic Of
Seoul, , Korea, Republic Of
Seoul, , Korea, Republic Of
Seoul, , Korea, Republic Of
Seoul, , Korea, Republic Of
Suwon Si, , Korea, Republic Of
Suwon Si, , Korea, Republic Of
Ulsan, , Korea, Republic Of
Yangsan Si, , Korea, Republic Of
Singapore, , Singapore
Singapore, , Singapore
Singapore, , Singapore
Singapore, , Singapore
Singapore, , Singapore
Singapore, , Singapore
Patients applied
Trial Officials
Medical Director
Study Director
Astellas Pharma Global Development, Inc.
Timeline
First submit
Trial launched
Trial updated
Estimated completion
Not reported